| NPI | 1831385053 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: CA A105053) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: CA A105053) |
| 208200000X Plastic Surgery (Licence: CA A105053) | |
| 208200000X Plastic Surgery (Licence: FL ME118300) | |
| Enumeration Date | 2007-09-20 |
| Last Update Date | 2025-07-30 |